Background: Total hip arthroplasty (THA) is one of the orthopedic procedures that are both economical and routinely successful. THA offers dependable benefits for patients with end-stage degenerative hip osteoarthritis (OA), including pain alleviation, functional recovery, and overall better quality of life. Methods: This was a retrospective study which was conducted on patients who visited the hospital's outpatient department received THA and also received the revisions of THA, were included. The reasons for THA were analyzed and their revisions were studied. The patients were studied according to various approaches based on the hip surgery, such as, straight lateral, anterolateral, posterolateral, and anterior and also based on the sizes divided into three groups 22-28 mm, 32 mm, and 36 mm. Results: The posterolateral approach (n=40) was used for the majority of THAs, followed by the straight lateral (n=35), anterior (n=25), and anterolateral (n=20) approaches. 22.5% of THAs that were done with a posterolateral approach used a 36-mm head. Each reason for different size of heads have been statistically analyzed. During the six-year follow-up, this (unadjusted) risk was 1.15% for femoral heads measuring 22 to 28 mm. THA with 32-mm heads had a considerably decreased risk of revision for dislocation (0.75%), compared to 36-mm heads (0.55%). Conclusions: The study concluded that the patients who received THA at posterolateral approach, experienced dislocations more frequently and also it has been found that the patients using 22 to 28 mm femoral head had more dislocations.
<p><strong>Background:</strong> Radial fracture frequently occurs in osteoporotic disorders, or in low-energy injuries. It is most frequent fracture of the upper extremity. Open reduction or closed reduction is done but there is debate between the two about its efficacies. Aims and objectives were to find out the efficacy and safety of open reduction and internal fixation (ORIF) with that of closed reduction and external fixation (CREF) among patients with distal radial fracture of all ages.</p><p><strong>Methods:</strong> This prospective study was conducted with patients of distal radial fracture. They underwent interventions, namely, ORIF (Open reduction group) or CREF (Closed reduction group). DASH score was measured before the intervention and during several follow ups at 4<sup>th</sup> week to 15<sup>th</sup> week. DASH score was statistically analyzed between the two groups. Additionally, the complications of the patients in each group were evaluated and sick leaves of the patients was recorded to assess their quality of life.</p><p><strong>Results:</strong> The study has found that the number of days taking patients took sick leave from field work is significantly more in "closed reduction" group as compared to "open reduction" group (p<0.05). The number of days patients took sick leave is significantly higher in “closed reduction” group as compared to “open reduction” group (p<0.05).</p><p><strong>Conclusions:</strong> The study has concluded that the disability of the patients who received ORIF decreased significantly as compared to those who received external fixation and the patients who received open reduction significantly improved from the fracture.</p>
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